Article · Wikipedia archive · Last revised Jun 30, 2026

Atrial switch

Atrial switch is a heart operation performed to treat dextro-Transposition of the great arteries. It involves the construction of an atrial baffle which redirects the blood coming into the atria to restore the connection between systemic and pulmonary circulation.

Last revised
Jun 30, 2026
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Atrial switch
Medical illustration of the Arterial Switch Operation
SpecialtyCardiology

Atrial switch is a heart operation performed to treat dextro-Transposition of the great arteries.12 It involves the construction of an atrial baffle which redirects the blood coming into the atria to restore the connection between systemic and pulmonary circulation.3

Two variants of the atrial switch operation developed – the Senning procedure (1950s) which uses the patient's own tissue (pericardium) to construct the baffle, and the Mustard procedure (1960s), which uses a synthetic material.4 It has largely been replaced by the arterial switch operation.4 The operation is more commonly performed in developing countries, where the condition frequently presents late.5

References

References

  1. Frandson, Eric; Files, Matthew D. (2020). "99. Transposition of the great arteries". In Raja, Shahzad G. (ed.). Cardiac Surgery: A Complete Guide. Switzerland: Springer. pp. 735–748. ISBN 978-3-030-24176-6.
  2. Breinholt, JP; John, S (April 2019). "Management of the Adult with Arterial Switch". Methodist DeBakey Cardiovascular Journal. 15 (2): 133–137. doi:10.14797/mdcj-15-2-133. PMC 6668747. PMID 31384376.
  3. "d-Transposition of the Great Arteries". www.heart.org. Archived from the original on 22 January 2022. Retrieved 25 October 2022.
  4. Prokšelj, Katja; Brida, Margarita (18 July 2022). "Atrial switch operation for transposition of the great arteries: tricuspid regurgitation matters". Heart. doi:10.1136/heartjnl-2022-321398. ISSN 1355-6037. PMID 35851320. S2CID 250642197.
  5. Talwar, Sachin (July 2016). "Atrial switch procedure in children more than 5 years of age: mid-term results". Interactive CardioVascular and Thoracic Surgery. 23 (5): 694–698. doi:10.1093/icvts/ivw189. PMID 27430553 – via Oxford Academic.